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Differential Self-Presentation Across Multiple Social Network Sites
Get PDFThis study investigates the ways in which users of multiple social network sites (SNSs) differ their self-presentation across the various SNSs that they use; as well as analyzes how SNS users alter their self-presentation on SNSs based on their perceived audience. This study was granted permission by participants to follow their Facebook, Twitter, Instagram, and Snapchat accounts and to perform content analysis on the artifacts that they generated during the phase of observation. A grounded theory approach was implemented and was effective in coding and analyzing both the ephemeral and non-ephemeral content observed in this study. Results indicate that participants have distinct self-presentation styles that they construct for SNSs. Several differences among the user-generated content observed on each SNS demonstrates the ways in which self-presentation differs between platforms. Results also indicate that differential self presentation across SNSs may be determined by the platform’s technological affordances instead of the user’s perceived audience
Evaluation of a Perinatal Human Papillomavirus Program
Get PDFHuman papillomavirus (HPV) is recognized as the most prevalent sexually transmitted infection in the United States. Prevention of HPV infection is possible with the efficacy of HPV vaccine noted to be nearly 100% when introduced prior to sexual debut. In addition, vaccination post-sexual initiation could have a significant impact on reducing HPV infection and HPV-associated cancers in women. Much focus has been placed on vaccinating adolescents against HPV. However, strategies to increase vaccination rates among females ages 18-26, who remain eligible for vaccination, must be examined. A program evaluation was undertaken to assess the effectiveness of a newly developed pilot program for women ages 19-26 that incorporates assessment of vaccine eligibility during the prenatal period to increase uptake and completion of HPV vaccine postpartum. Data collected from the perinatal vaccination pilot program was performed retrospectively. Through a chart review, postpartum patients age 19-26 were identified and specific areas of focus were examined: whether an HPV dose was administered to vaccine eligible individuals during the inpatient period; whether an additional dose was administered at an ambulatory postpartum visit; and whether a subsequent dose was given at an ambulatory visit if warranted. Data analysis was conducted. Frequencies and percentages in relation to numbers of patients and HPV doses were calculated. Finally, implications for advanced nursing practice were discussed
Colony House
No full textThe Colony House, pictured here in 1980, was designed by builder Richard Munday in 1739. The Colony House is architecturally unique for Newport because of it\u27s brick construction. It replaced an earlier wooden structure dating from 1687. Munday was familiar, through prints and drawings, of the baroque classicism of Sir Christopher Wren. The use of brick as a construction material suggests Wren\u27s influence, as brick trimmed with free stone was common to his designs. Munday is also noted for his design of Newport\u27s Trinity Church. Before construction of the McKim, Mead & White\u27s Rhode Island State House in Providence, the Colony House, along with four other state houses, were used in rotation by the governor and legislature.https://digitalcommons.ric.edu/ri_architecture/1004/thumbnail.jp
Implementation of the Critical Care Pain Observation Tool
Get PDFIn the United States, greater than half of the adult patients who are admitted to critical care experience pain and report poor pain control. Inadequate management of acute pain is associated with negative outcomes, including high blood sugar, insulin resistance, higher infection risk, increased discomfort, decreased satisfaction, and chronic pain. Patients in the intensive care unit (ICU) cannot always express that they are having pain. Recently modified guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult recommend a reliable and valid pain assessment instrument for patients who are unable to verbalize pain. For the adult critically ill population, the Critical Care Pain Observation Tool (CPOT) and the Behavioral Pain Scale (BPS) were identified as the most reliable and valid instruments. The purpose of this program development was to provide education for nurses in the Cardiovascular Intensive Care Unit (CVICU) on the CPOT to assist in transitioning to the CPOT as part of the CVICU pain assessment. A pretest-posttest design was utilized to evaluate the nurses’ knowledge of the CPOT. The intervention consisted of a one-hour education session on pain assessment and the CPOT. Thirteen out of a potential twenty-two nurses (n=13, 59%) participated in the educational session with a mean pretest score of 42.3% and a mean posttest score of 93.1%. There was a 50.8% improvement post-intervention total scores. Findings from this quality improvement education intervention suggest that the CVICU nurses’ knowledge increased in both pain assessment and the CPOT following the intervention
Exploration of Conflict Management Styles Used by Medical-Surgical Nurses
Get PDFConflict has been pervasive to societies throughout time, has caused power struggles, problems, and competition amongst and between people and groups. Conflict is especially problematic in healthcare. Communication issues may trigger conflict troubles between nurses and physicians. The literature review supported that there is an increased need for collaboration between physicians and nurses, which has been shown to have multiple benefits in regard to patient care, but is also very underutilized in the healthcare setting. The purpose of this study was to explore the conflict management styles of medical-surgical nurses. The Thomas-Kilmann Model of Conflict Management was used to guide this research project. This descriptive survey was disseminated to a medical surgical unit at a local, non-profit hospital, and Level 1 trauma center. Twenty-three nurses completed the survey, a 48.9% response rate. The styles of conflict management that were most utilized by nurses were compromising and accommodation, followed by avoidance. Competition was not utilized at all, and one participant used collaboration and compromising. Collaboration may be the ideal conflict management style, where optimal patient outcomes are the utmost priority and an interdisciplinary approach to teamwork is used. The collaborative style upholds that open, effective communication between the individuals, or parties, leads to everyone expressing their viewpoints, but that the individuals, or parties, come to an agreement on a solution that ultimately benefits the patient. Advanced practice registered nurses play a valuable role in the future of healthcare, research, and micro and macro level policy changes, especially in regard to this subject
Monitoring of DNA Polymerase Theta Movements Through FRET Analysis
Get PDFDNA polymerases are enzymes used for DNA replication during cell division and can be specialized for DNA repair. DNA Polymerase Theta (Pol θ) is the predominant polymerase involved in alternative double-stranded break repair and is upregulated in breast cancer. It is errorprone as it does not accurately match the nucleotide on a DNA template with the correct complementary base. This inaccuracy affects the overall fidelity of the enzyme, a biochemical process that looks at the ability of a polymerase to “read” the template DNA and select the right nucleotide before polymerization. Polymerization for most DNA polymerases involves a global conformational change, specifically of the fingers domain, during insertion of a nucleotide after selecting it into the DNA strand in the active site. If this selection step is compromised, it could lead to the insertion of a non-complementary nucleotide, which could lead to mutations. The fingers domain is hypothesized to move closer to the active site during this process before release of the extended product, where the fingers domain returns to its original conformation. These results have been previously observed in high-fidelity polymerases β and Klenow. Pol β is involved in BER, and the Klenow fragment synthesizes DNA in E.coli. In both studies, the enzyme adopts a closed conformation with correct nucleotide. This study aims to elucidate the mechanism of Pol θ during DNA repair, and how the global movements of this enzyme affects fidelity. Using Fluorescence Resonance Energy Transfer (FRET), we internally fluorescently labeled the fingers domain of Pol θ to observe its interaction with DNA and an incoming nucleotide. Preliminary results suggest that only in the presence of correct nucleotide does Pol θ experience a global conformational change during polymerization to ensure correct matching, suggesting nucleotide selection by Pol θ is monitored in an open conformation and only when the correct pair is formed does polymerization proceed. Our FRET system can be used to further understand the fidelity of Pol θ and how it can lead to cance
Effects of Spirituality on Patients\u27 Health Outcomes
Get PDFSpirituality is a concept that is recently getting increased attention. Often misunderstood or confused with other concepts such as religion or culture, it has a broader meaning and transcends culture, religion, and geographic boundaries. The importance of spirituality in patient care remains controversial amongst providers. An integrative review of the literature was conducted to examine the impact of spirituality on health outcomes. Literature was searched over a 20 year period using CINAHL and PUBMED. The framework that guided this project was Martha Rogers’s Theory of Unitary Human Being that focuses on the interaction between individuals and their environment. In the method section, terms often confused with spirituality were described. Ten articles that described the effects of spirituality on health outcomes and that met the inclusion and exclusion criteria were analyzed. The included literature was critiqued using the Polit and Beck appraisal tool and presented in tables, then a cross-analysis of these articles was conducted and described. The literature supported that there are numerous positive outcomes, physical or psychological associated with spirituality. The implications and recommendations for advanced practice were also discussed
The Use of Preemptive Ketamine for the Prevention of Postoperative Pain in Surgical Patients
Get PDFPost-operative pain is accompanied with strong emotional and physical responses which may often discourage the healing process. Acute pain serves as a physical warning sign to the patient but when left unchecked, the acute pain process can increase nociceptor sensitivity and ultimately lead to chronic pain syndromes. Currently, it is thought that providing pain medication to block pain receptors prior to nociception might decrease the development of, or severity of, pain. Some practitioners have used ketamine as an adjunct pain medication perioperatively to decrease pain. The purpose of this review is to investigate the efficacy of Ketamine administered in a pre-hospital or pre-surgical setting on the overall pain management of surgical patients A literature search was performed on PubMed and Medline and using the PRISMA flowchart, and appropriate studies were identified. Each study was critically appraised and organized into tables to organize related variables and results. Variables included ketamine dosing, route of administration, the use of opioid or local anesthetic for comparison, type of surgery, and the length of duration into the post-operative period that pain scores were recorded. This systematic review supports that preemptive ketamine reduces acute pain in the immediate post-operative period
The Impact of a Focused Training on Advanced Practice Nursing Student\u27s Experience with Communicating Difficult News
Get PDFHealthcare providers often have the difficult job of communicating difficult news to patients and patient families. However, few practitioners report having formal instruction on a systematic method for the delivery of difficult news. The purpose of the program was to give a cohort of Advanced Practice Registered Nurses (APRN) students in their final semester of their graduate program formal instruction on how to effectively deliver difficult news to their patients and patient families. The role of the APRN is ever expanding and APRNs will often find themselves treating more complex patients in their practice. Being prepared for an inevitable encounter with a poor diagnosis or the death of a loved one is an invaluable tool that has proven to enhance patient and provider relationships and alleviate provider frustration. The program incorporated formal instruction that included a lecture on evidence based theory using the SPIKES method of the delivery of difficult news as the backbone for the teaching and reference. Students participated in triads, role-playing the SPIKES method following the lecture. A sample comprised of 11 students representing 58% of the class met the inclusion criteria. The program was evaluated using a researcher designed and validated Likert type survey, measuring learner confidence both pre- and post-instruction. Confidence levels were measured and all who responded to the post-instruction survey reported increased confidence (\u3e 90%) in the delivery of difficult news
Rhode Island State House, Capitol Dome
No full textThe structural marble dome of the Rhode Island State House was the largest in the country when it was completed at the turn of the century. It is currently the fourth largest self-supporting dome in the world. The decision about the size of the dome was made in 1899 by the State House Commission in order to exceed that of the Minnesota Capitol Building\u27s dome, which was being erected at the time. Atop the dome is George T. Brewster\u27s statue Hope, commonly known as The Independent Man.https://digitalcommons.ric.edu/ri_architecture/1007/thumbnail.jp